Advancing adolescent bedtime by motivational interviewing and text message
A randomized controlled trial
Bibliographic Data
BACKGROUND: Sleep deprivation is a prevalent problem among adolescents which is closely related to various adverse outcomes. The lack of efficacy of current sleep education programs among adolescents argues for the need to refine the content and format of the intervention. This study aimed to evaluate the effectiveness of a group-based sleep intervention using motivational interviewing plus text reminders in changing adolescent sleep habits. METHODS: This study is a randomized controlled trial comparing motivational group-based sleep intervention with nonactive control group. The primary outcomes were the sleep-wake patterns measured by both sleep diary and actigraphy at postintervention, 3 and 6 months after the intervention. The trial was registered with the Clinical Trial Registry (NCT03614572). RESULTS: A total of 203 adolescents with school day sleep duration of <7 hr (mean age: 15.9 ± 1.0 years; males: 39.9%) were included in the final analysis. Sleep diary and actigraphy data both showed that adolescents in the intervention group had earlier weekday bedtime at postintervention (sleep diary: estimated mean difference: 33.55 min, p = .002; actigraphy: 33.02 min, p = .009) and later wake-up time at 3-month follow-up compared to the control group (sleep diary: -28.85 min, p = .003; actigraphy: -30.03 min, p = .01), and the changes in diary measured weekday bedtime were sustained up to 6-month follow-up. In addition, adolescents in the intervention group had longer sleep diary reported weekday sleep duration at 3- (35.26 min, p = .003) and 6-month follow-up (28.32 min, p = .03) than the controls. Adolescents in the intervention group also reported improved daytime alertness postintervention, which was maintained at the 6-month follow-up. CONCLUSIONS: The motivational group-based sleep intervention is effective in advancing bedtime with improved sleep duration and daytime alertness in sleep-deprived adolescents
Actigraphy · Bedtime · Insomnia · Intervention (counseling) · Motivational interviewing · Physical therapy · Psychiatry · Randomized controlled trial · Sleep (system call) · Sleep diary · Sleep onset · Internal Medicine · Medicine · Obstructive Sleep Apnea Research · Psychology · Sleep and related disorders · Sleep and Work-Related Fatigue
Association between Puberty and Delayed Phase Preference
The KIDSCREEN-52 Quality of Life Measure for Children and Adolescents
Electronic media use and sleep in school-aged children and adolescents
National Sleep Foundation’s sleep time duration recommendations
Recommended Amount of Sleep for Pediatric Populations
The Associations of Electronic Media Use With Sleep and Circadian Problems, Social, Emotional and Behavioral Difficulties in Adolescents
Impact of Covid-19 Pandemic on School-Aged Children’s Physical Activity, Screen Time, and Sleep in Hong Kong
Examining the influence of a text message-based sleep and physical activity intervention among young adult smokers in the United States
Psychometric evaluation of the Hospital Anxiety and Depression Scale in a large community sample of adolescents in Hong Kong
The effects of extended bedtimes on sleep duration and food desire in overweight young adults
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |